Deck 9: Other Important Tests and Procedures

Question 1

A 14-year-old patient has had a serious asthma attack. Her white blood cell count can be expected to show:

A) decreased neutrophils.
B) decreased erythrocytes.
C) increased eosinophils.
D) increased monocytes.

Answer 1

increased eosinophils.

Question 2

The respiratory therapist is caring for a patient with a newly diagnosed pleural lesion. The patient cannot undergo a CT scan due to extreme claustrophobia. Which procedure can be performed to diagnose the cause of the lesion?

A) Video-assisted thoracoscopy surgery
B) Navigational bronchoscopy
C) Therapeutic bronchoscopy
D) Acid-fast smear

Answer 2

Video-assisted thoracoscopy surgery

Question 3

Culture and sensitivity tests:

A) stain a microorganism as gram positive or gram negative.
B) determine the shape of the organisms present.
C) identify the DNA of organisms present in the sputum.
D) determine the antibiotic(s) best suited for combating an infection.

Answer 3

determine the antibiotic(s) best suited for combating an infection.

Question 4

Therapeutic bronchoscopy can be used for:
1) bronchiectasis therapy.
2) removal of a foreign body.
3) selective lavage.
4) management of life-threatening hemoptysis.

A)1, 3
B)1, 2, 4
C)2, 3, 4
D)1, 2, 3

Question 5

The respiratory therapist is reviewing the electronic medical record of a patient recently admitted to the medical floor. The therapist notes that a sputum sample was sent to the lab for an acid-fast smear and culture. How should the therapist interpret this information?

A) Suspect that the patient has Mycoplasma pneumoniae pneumonia.
B) Suspect that the patient has Rickettsiae pneumonia.
C) Suspect that the patient has Pneumocystis jiroveci (carinii) pneumonia.
D) Suspect that the patient has Mycobacterium tuberculosis pneumonia.

Question 6

Gram staining is done to:
1) classify organisms as gram positive or gram negative.
2) identify tuberculosis organisms.
3) speed up the organism culturing process.
4) help guide antibiotic therapy.

A)3
B)1, 4
C)2, 3
D)1, 2, 4

Question 7

Which of the following are primary reasons for which an endobronchial ultrasound (EBUS) is recommended?
1) To detect the presence of tumors or pathologically enlarged lymph nodes
2) To diagnose stridor or localized wheezing
3) To diagnose tumors within the lung or mediastinum
4) To diagnose lymph node abnormalities in the mediastinum or hila

A)1, 2
B)2, 3
C)1, 3, 4
D)2, 3, 4

Question 8

In a normal differential white blood cell (WBC) count, which of the following would have the highest number?

A) Neutrophils
B) Basophils
C) Eosinophils
D) Lymphocytes

Question 9

The respiratory therapist is caring for a patient who is receiving diuretic therapy as part of the medication regimen for her congestive heart failure. Which of the following would the therapist most likely monitor in watching for common side effects associated with diuretic therapy?

A) Hypokalemia
B) Hyperchloremia
C) Hyperbilirubinemia
D) Hyponatremia

Question 10

A patient has pneumonia and a right pleural effusion. If the pleural exudate fluid is infected, it will show:
1) a low protein level.
2) a high white blood cell count.
3) bacteria.
4) many red blood cells.

A)1, 2
B)2, 3
C)1, 3, 4
D)2, 3, 4

Question 11

After a thoracentesis procedure, it is important to monitor the patient for:

A) bronchospasm.
B) hemoptysis.
C) increased blood urea nitrogen (BUN).
D) pneumothorax.

Question 12

For blood urea nitrogen (BUN) and creatinine values:

A) serum creatinine is a protein produced in the kidneys.
B) BUN and serum creatinine values that are higher than the normal range indicate renal failure.
C) urea is a waste product of carbohydrate metabolism in the intestines.
D) BUN values that are below normal indicate renal failure.

Question 13

Diagnostic thoracentesis can be used to:

A) withdraw a secretion sample from the lung for a sputum smear.
B) withdraw a secretion sample from the lung for a Gram stain.
C) determine the etiology of a pleural effusion.
D) remove air from the pleural space.

Question 14

In response to a viral infection, which of the following can be expected to be seen in the white blood cell count?

A) Increased lymphocytes
B) Decreased monocytes
C) Increased basophils
D) Decreased platelets